[HSF] "Easier to let pts suffer than to do what is right"

Wed Feb 6 21:13:06 EST 2008

Dear John,

? Having that 60 mile monopoly sure beats the heck out of Miami, doesn't it?? Glad you are doing well.

Hal

-----Original Message-----
From: John Schor <johnschor at mac.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Wed, 6 Feb 2008 6:47 pm
Subject: Re: [HSF] "Easier to let pts suffer than to do what is right"

I have worked with people who would not admit their own errors. I have seen many pt's "buried" due to surgeons not doing the right thing, ie reoperating on a pt like Hal's while under close scrutiny. I no longer work with those people.?
?
I am now alone in practice in a rural area of Northern Arizona. When a pt has any complication, the whole medical staff immediately knows about it. If a surgeon reoperates, read "unplanned procedure", a flag is raised on the chart and it is automatically reviewed by a member of the "peer review committee".?
?
It's usually a primary care doc, pediatrician, radiologist, or other "peer" who has to figure out whether the Board Certified CT Surgeon knows what he's doing and has provided standard of care.?
?
I have had a couple of "unplanned procedures" because I am very conservative and will reexplore pt's if things "just don't look right". Any one on the HSF would understand and even commend such behavior, but small town medical politics are very interesting.?
?
On the other hand, I do have a monopoly for a 60 mile (100km) radius.?
?
John?
?
John Schor, MD?
Verde Valley Medical Center?
Cottonwood, AZ 86326?
Tel: 928-649-2584?
?
On Feb 6, 2008, at 2:20 PM, Nasser F. Abou'Seada wrote:?
?
> "a place that keeps tabs on which pt's go back to the?
> OR; then secret tribunals are held in order to "educate" the medical?
> staff. It takes guts to take on cases like that. It's a lot easier to?
> let pt's suffer than to do what is right."?
>?
> Dear John?
> please elaborate more ....?
> sounds the same everywhere !!!!?
>?
> NFA?
>?
>?
>?
> On Feb 6, 2008 3:06 PM, John Schor <johnschor at mac.com> wrote:?
>?
>> Hal:?
>> Great job!?
>> You prove the point that we can only know so much without operating.?
>> Pontificating is the worst place to be. It is clear you are a Jedi?
>> Master; "May the force be with you".?
>>?
>> I am currently at a place that keeps tabs on which pt's go back to >> the?
>> OR; then secret tribunals are held in order to "educate" the medical?
>> staff. It takes guts to take on cases like that. It's a lot easier to?
>> let pt's suffer than to do what is right.?
>> I admire your efforts.?
>> John?
>>?
>>?
>> John Schor, MD?
>> Verde Valley Medical Center?
>> Cottonwood, AZ 86326?
>>?
>>?
>> On Feb 6, 2008, at 10:03 AM, Hgrmd at aol.com wrote:?
>>?
>>>?
>>> Prasanna,?
>>>?
>>> ? Thanks.?
>>>?
>>>?
>>>?
>>> Hal?
>>>?
>>>?
>>> -----Original Message-----?
>>> From: Prasanna Simha M <prasannasimha at gmail.com>?
>>> To: OpenHeart-L at lists.hsforum.com?
>>> Sent: Wed, 6 Feb 2008 11:55 am?
>>> Subject: Re: [HSF] (no subject)?
>>>?
>>>?
>>>?
>>>?
>>> Gut instinct pays.?
>>> Prasanna?
>>>?
>>> On Feb 6, 2008 10:17 PM, <hgrmd at aol.com> wrote:?
>>>?
>>>>?
>>>> Ahmed,?
>>>>?
>>>> ? Thanks for your words.? Parenthetically, all of my partners?
>>>> advised me?
>>>> not to operate.?
>>>>?
>>>>?
>>>>?
>>>> Hal?
>>>>?
>>>>?
>>>> -----Original Message-----?
>>>> From: alsadd <alsadd at ksu.edu.sa>?
>>>> To: OpenHeart-L at lists.hsforum.com?
>>>> Sent: Wed, 6 Feb 2008 5:33 pm?
>>>> Subject: RE: [HSF] (no subject)?
>>>>?
>>>>?
>>>>?
>>>>?
>>>> Congratulations Hal a job well done. It is the thing to do bite the?
>>>> bullet.?
>>>>?
>>>>?
>>>> Ahmed?
>>>>?
>>>> -----Original Message-----?
>>>> From: openheart-l-bounces at lists.hsforum.com?
>>>> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of?
>> hgrmd at aol.com?
>>>> Sent: Wednesday, February 06, 2008 3:21 AM?
>>>> To: OpenHeart-L at lists.hsforum.com?
>>>> Subject: [HSF] (no subject)?
>>>>?
>>>> Dear Members,?
>>>> ? Two days ago, I reoperated on the gentleman with the stenotic and?
>>>> thrombosed SVC.? I'm glad I did.? I femorally cannulated and went?
>>>> on pump?
>>>> prior to splitting the chest (he was 3 weeks postop).? I only?
>>>> dissected?
>>>> the?
>>>> right atrium.? The adhesions were torture.? The tip of the femoral?
>>>> cannula?
>>>> was advanced only into the IVC.? No effort was made to control >>>> either?
>>>> cava.??
>>>> The heart stayed warm and beating.? A right atriotomy was made and?
>>>> extended?
>>>> across the RA-SVC junction.? It was tightly stenotic.? A large?
>>>> amount of?
>>>> clot was retrieved with a 6mm Fogarty.? A large patch of bovine?
>>>> pericardium?
>>>> was placed.? The whole operation took less than 3 hours.??
>>>> Yesterday, it?
>>>> was?
>>>> evident that his facial and forearm edema were markedly improved.??
>>>> He's?
>>>> already on Lovenox and Coumadin.?
>>>>?
>>>> Hal?
>>>>?
>> ________________________________________________________________________?
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>>>?
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>>>?
>>> --?
>>> Prasanna Simha M?
>>> _______________________________________________?
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